| Insite Medical Nj Pa | |
|
525 Route 73 N Ste 302 Marlton NJ 08053-3422 | |
| (833) 494-6724 | |
| Not Available |
| Full Name | Insite Medical Nj Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 525 Route 73 N Ste 302, Marlton, New Jersey |
| Authorized Official Name and Position | Kristina Dewey (MANAGER) |
| Authorized Official Contact | 2672260445 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Insite Medical Nj Pa 525 Route 73 N Ste 302 Marlton NJ 08053-3422 Ph: (833) 494-6724 | Insite Medical Nj Pa 525 Route 73 N Ste 302 Marlton NJ 08053-3422 Ph: (833) 494-6724 |
| NPI Number | 1538807011 |
|---|---|
| Provider Enumeration Date | 05/24/2022 |
| Last Update Date | 02/28/2024 |
| Certification Date | 02/28/2024 |
| Medicare PECOS PAC ID | 8022487743 |
|---|---|
| Medicare Enrollment ID | O20221219002508 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538807011 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084B0040X | Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry | (* (Not Available)) | Primary |
| Provider Name | Aaron Spector |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1619077716 PECOS PAC ID: 4587688700 Enrollment ID: I20060117001129 |
| Provider Name | Diane M Burt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043229883 PECOS PAC ID: 5395838718 Enrollment ID: I20070830000463 |
| Provider Name | Lisa M Ewan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093087249 PECOS PAC ID: 1355505470 Enrollment ID: I20120620000733 |
| Provider Name | Stacey Macpaintsil Ostrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962860601 PECOS PAC ID: 0648577007 Enrollment ID: I20160330000270 |
| Provider Name | Cristina C Sertway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871965020 PECOS PAC ID: 2062703424 Enrollment ID: I20160615002154 |
| Provider Name | Laura Mccarthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821579368 PECOS PAC ID: 9032440094 Enrollment ID: I20191007001565 |
| Provider Name | Brandon Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366088189 PECOS PAC ID: 3476987108 Enrollment ID: I20200106000434 |
| Provider Name | Kelly Winters |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235745084 PECOS PAC ID: 6608296249 Enrollment ID: I20201020001205 |
| Provider Name | Angela Emomotimi Ekeweme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386301489 PECOS PAC ID: 2668862772 Enrollment ID: I20211203002161 |
| Provider Name | Michelle Guarnizo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467115592 PECOS PAC ID: 5698166221 Enrollment ID: I20211215001856 |
| Provider Name | Bianca N Valentin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649790353 PECOS PAC ID: 9931590999 Enrollment ID: I20211229002380 |
| Provider Name | Ernst Renondeau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134714546 PECOS PAC ID: 8527455567 Enrollment ID: I20220421002701 |
| Provider Name | Corine Iwuala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063168847 PECOS PAC ID: 5193112696 Enrollment ID: I20220503000022 |
| Provider Name | Joseph Zarraga |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639676059 PECOS PAC ID: 9234534249 Enrollment ID: I20221219002729 |
| Provider Name | Oluwatosin Akindunbi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447863048 PECOS PAC ID: 3779902606 Enrollment ID: I20230103000023 |
| Provider Name | Matthew D Minteer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811611668 PECOS PAC ID: 3870966302 Enrollment ID: I20230303002128 |
| Provider Name | Mary Pajic |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134617343 PECOS PAC ID: 6709241060 Enrollment ID: I20230420002992 |
| Provider Name | Joshua Michael Schorr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679157796 PECOS PAC ID: 7113385006 Enrollment ID: I20230626001168 |
| Provider Name | Tomeka Rochelle Mapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295400240 PECOS PAC ID: 1355709056 Enrollment ID: I20230627002166 |
| Provider Name | Barbara A. Basile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558135772 PECOS PAC ID: 2062865041 Enrollment ID: I20240125002930 |
| Provider Name | Obinna Anyanwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659141273 PECOS PAC ID: 1557705944 Enrollment ID: I20240213003772 |
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